Event Scholarship Request Form

Your name *

Last name

Email address *

Phone number *

Phone type

MobileHomeWorkOther

Address *

HomeWorkOther

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Do you attend ITOWN Church on a regular basis? *

Yes

No

Which campus do you attend? *

Olson Farms

Mudsock

Bluffton

None

Are you a member of ITOWN Church? *

Yes

No

Which event are you inquiring about? *

Chosen

Men's Night

United

Youth Retreat

Please explain why you are applying for a scholarship, and include any specific information you feel would be helpful to use as we process your scholarship application: *

Submit

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